1437359403 NPI number — HOANGSON H. DAO DDS. A PROF. DENTAL CORP.

Table of content: MR. CONTE ANDRE YATES MSW (NPI 1316381023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437359403 NPI number — HOANGSON H. DAO DDS. A PROF. DENTAL CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOANGSON H. DAO DDS. A PROF. DENTAL CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437359403
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13211 HARBOR BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARDEN GROVE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92843-1719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-636-3137
Provider Business Mailing Address Fax Number:
714-636-3115

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13211 HARBOR BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARDEN GROVE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92843-1719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-636-3137
Provider Business Practice Location Address Fax Number:
714-636-3115
Provider Enumeration Date:
07/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DAO
Authorized Official First Name:
HOANGSON
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
714-636-3137

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  43931 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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